Smiles for Kids LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN12806 Issued in GA

Legal business name

SMILES FOR KIDS LLC

Practice address

1240 Buford Rd
Suite 150
Cumming, GA 30041-2731

Phone

(770) 781-0203

Fax

(770) 781-0204

NPI assigned

Feb 3, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jyoti Desh Sharma, DMDNPI 1891873758

Title

Owner

Phone

(404) 433-1317

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jyoti Desh Sharma, DMD

  • Pediatric Dentistry
  • Cumming, GA
  • NPI 1891873758
  NPD (past) Authorized official
• DO Young Chung, DDS

  • General Practice Dentistry
  • Norcross, GA
  • NPI 1023605920
  NPD (past)
• Paul Kaneshiro, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Smyrna, TN
  • NPI 1245949262
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1407128663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 BEECHAM CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243390",
            "telephone_number": "404-433-1317",
            "fax_number": "770-781-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 BUFORD RD",
            "address_2": "SUITE 150",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300412731",
            "telephone_number": "770-781-0203",
            "fax_number": "770-781-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES FOR KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "JYOTI",
        "authorized_official_middle_name": "DESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-433-1317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN12806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "437813642M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Slotter, M.S. CCC-SLP
• Jacqueline Small
• Smart Living Chiropractic LLC
• Smile Pop Pediatric Dentistry
• Smilebox Dental LLC
• Smith Therapy, LLC
• Aliyiah Chantel Smith, PHARM D
• Andrea Smith, OTR
• Barbara Elaine Smith, CNNP
• Elizabeth Anne Smith, FNP-C

• Pediatric Dentistry in Cumming, GA
• Providers in Cumming, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.